REGISTRATION FORM

FORTY-FIRST ANNUAL
ARIZONA HISTORICAL CONVENTION

To register for the convention, you can print this form and mail it as directed below.

Item Cost per Person Number of Persons Total Cost
Registration 20.00    
Student Registration 10.00    
Thursday Night Westerners Dinner 15.00    
Friday Al Merito Luncheon 15.00    
Friday Evening Reception 5.00    
Saturday Luncheon 15.00    
Saturday Museums Tour 10.00    
Saturday Train Ride 20.00  
Saturday Historic Homes Walking Tour 10.00    
Saturday Night Banquet25.00  
Sunday Boat Tour 60.00    
  
Total $  

[ ] indicate vegetarian meals

[ ] request handicapped assistance

Make checks payable to Arizona Historical Convention, Inc.
Mail Registration Form and Payment to:

Bruce J. Dinges,
Arizona Historical Society,
949 E. Second Street, Tucson, AZ 85719.
520-628-5774

Name(s) ______________________________________________

Address ______________________________________________

City _________________________________________________

State ________________________________________________

Zip ______________

Daytime Phone (____) ____ - _________

E-Mail Address ________________________________________